| NPI | 1346603164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 50606) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 12707) |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2025-01-31 |